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MAIN TRADING NAME OF THE OPERATING COMPANY
Mr/Mrs/Ms/Other
Surname: (Family name)
First Names:
Other names by which you have been known:
Important Your name must be spelt the same way on ALL the documents given in with this form
Full Home Address:
Postcode:
Home
Mobile
E-mail address:
Please give an email you check regularly. It is quicker to e-mail you than send you a letter.
Town of Birth:
Country of Birth:
Date of Birth:
National Insurance number:
DVLA licence number
Do you intend to work as a driver?
Yes
No
Licensed Driver badge number:
Expiry date:
Can you read write and understand spoken English?
Yes
No
Present trade or occupation:
What trade/business/profession have you undertaken for the past 5 years?
Have you ever held or currently hold a driver’s licence or vehicle licence or operator’s licence for
Hackney Carriage or Private Hire or School Transport with Reading Borough Council or any other
Council?
Yes
No
If YES state which Council(s), the type of licence(s) and the date(s)
Have you ever been refused a driver’s licence or vehicle licence or operator’s licence for Hackney
Carriage or Private Hire or School Transport or had such a licence suspended or revoked, by Reading
Borough Council or any other Council?
Yes
No
If YES state which Council(s), the type of licence(s) and the date(s)
Operator Application Form & Guide April 2016
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